Kayla Patterson
Heath,USA
Summary
Detail-oriented, reliable medical billing professional with expertise in insurance claim processes, and CPT/ICD-10 coding. Proficient in utilizing billing software and payer portals for accurate and timely claim submissions. Committed to integrity and accountability in all professional tasks, ensuring compliance, and efficiency. Highly motivated, both professionally and personally, to achieve results and uphold professional standards.
Overview
9
9
years of professional experience
Work History
Payment Resolution Specialist
Trinity Health
Columbus, OH
09.2019 - Current
- Processed healthcare payments accurately and promptly, resolving billing discrepancies effectively.
- Reconciled received payments with submitted claims, investigating and addressing mismatches.
- Followed up on denied or unpaid insurance claims to expedite resolutions.
- Collaborated with insurance companies to address issues, submit appeals, and request reconsiderations.
- Identified patterns in claim denials, enhancing future submission accuracy.
- Partnered with billing and coding teams to rectify errors and prevent future denials.
- Maintained precise records of payments, adjustments, and communications.
- Generated and reviewed payment, aging, and reconciliation reports for operational oversight.
- Verified patient insurance eligibility and benefits coverage accurately.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Facilitated resolution of patient inquiries and concerns in a timely manner.
- Utilized electronic health record systems to track and manage case status.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
Medical Billing Specialist
Orthopedic One
Columbus, OH
05.2019 - 09.2019
- Processed healthcare payments accurately and promptly, resolving billing discrepancies effectively.
- Reconciled received payments with submitted claims, investigating and addressing mismatches.
- Followed up on denied or unpaid insurance claims to expedite resolutions.
- Collaborated with insurance companies to address issues, submit appeals, and request reconsiderations.
- Identified patterns in claim denials, enhancing future submission accuracy.
- Partnered with billing and coding teams to rectify errors and prevent future denials.
- Maintained precise records of payments, adjustments, and communications.
- Generated and reviewed payment, aging, and reconciliation reports for operational oversight.
- Verified patient insurance eligibility and benefits coverage accurately.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Processed credit card payments from patients in accordance with office policy.
- Worked on workers' compensation denials.
Medical Billing Specialist
MedComm Billing Consultants
Columbus, OH
09.2018 - 05.2019
- Processed healthcare payments accurately and promptly, resolving billing discrepancies effectively.
- Reconciled received payments with submitted claims, investigating and addressing mismatches.
- Followed up on denied or unpaid insurance claims to expedite resolutions.
- Collaborated with insurance companies to address issues, submit appeals, and request reconsiderations.
- Identified patterns in claim denials, enhancing future submission accuracy.
- Partnered with billing and coding teams to rectify errors and prevent future denials.
- Verified patient insurance eligibility and benefits coverage accurately.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed medical claims using advanced billing software systems.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Specialized in dermatology billing.
Front Desk Receptionist
Chiropractic Office
Zanesville, OH
05.2018 - 09.2018
- Managed patient check-in and check-out processes to enhance office efficiency.
- Collected co-pays for both late and current payments from patients.
- Scheduled appointments to ensure optimal patient flow and resource allocation.
- Answered phone inquiries while performing clerical duties such as typing and filing.
- Verified insurance coverage to facilitate accurate billing, and minimize claim denials.
- Entered daily charges for timely submissions to bill payers, ensuring compliance.
Medical Billing Specialist
Primecare Of SEO
Zanesville, OH
04.2016 - 05.2018
- Processed healthcare payments accurately and promptly, resolving billing discrepancies effectively.
- Reconciled received payments with submitted claims, investigating and addressing mismatches.
- Followed up on denied or unpaid insurance claims to expedite resolutions.
- Collaborated with insurance companies to address issues, submit appeals, and request reconsiderations.
- Identified patterns in claim denials, enhancing future submission accuracy.
- Partnered with billing and coding teams to rectify errors and prevent future denials.
- Maintained precise records of payments, adjustments, and communications.
- Generated and reviewed payment, aging, and reconciliation reports for operational oversight.
- Verified patient insurance eligibility and benefits coverage accurately.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed medical claims using advanced billing software systems.
- Meticulously tracked and resolved underpayments.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
Education
High School Diploma -
Ridgewood High School
West Lafayette, OH05-2008
Skills
- Insurance claims processing
- Knowledge of EHR/EMR systems
- Understanding of medical terminology
- HIPAA compliance
- A/R management
- Denial management and appeals
- Knowledge of CMS regulations
- Use of billing software
- Billing adjustments
- Attention to detail
- Problem-solving
- Interacting with insurance companies
- Strong written communication for appeals and documentation
- Managing emails and correspondence
- Proficiency in Microsoft Office (Word, Excel, Outlook, Teams)
- Time management
- Multitasking
- Customer service
- Professionalism
Timeline
Payment Resolution Specialist
Trinity Health
09.2019 - Current
Medical Billing Specialist
Orthopedic One
05.2019 - 09.2019
Medical Billing Specialist
MedComm Billing Consultants
09.2018 - 05.2019
Front Desk Receptionist
Chiropractic Office
05.2018 - 09.2018
Medical Billing Specialist
Primecare Of SEO
04.2016 - 05.2018
High School Diploma -
Ridgewood High School
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